Name *

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Mobile Phone Number *

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Date of Birth *

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Passport Date of Issue *

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Passport Date of Expiration *

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ACKNOWLEDGEMENT OF RISK AND PHOTO RELEASE* I acknowledge that there is a significant element of known and unanticipated risk in travel which could result in physical or emotional injury, damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. Knowing the inherent risks, dangers and rigors involved in these activities, I certify that I am fully capable of participating in the activities described. I certify that I have adequate insurance to cover any injury or damage I may suffer while participating. I further certify that I have no medical or physical conditions that could interfere with my safety during the tour. I understand that I follow the suggested itinerary at my own risk and agree not to hold PRINCETON PHOTO WORKSHOP or its affiliates responsible for injury or death resulting from accidents. PRINCETON PHOTO WORKSHOP, its agents and employees shall not be held responsible for personal injuries or property damage, loss, or delay, or change of itinerary incurred by any person or tour participant arising out of the act of negligence of any direct or supplemental carrier, hotel or other person rendering any of these services, or accommodations being offered in these tours; nor shall PRINCETON PHOTO WORKSHOP be responsible for injuries, death, damage, loss or delay in any means of transportation or by reasons of any event beyond the actual control of PRINCETON PHOTO WORKSHOP or any agent or supplier or due to force majeur. PRINCETON PHOTO WORKSHOP reserves the right to substitute hotels, restaurants or other services listed in the itinerary with compatible services if necessary. The right is also reserved to decline or retain any person as a member of the trip due to circumstances beyond the control of PRINCETON PHOTO WORKSHOP. PRINCETON PHOTO WORKSHOP reserves the right to use any photos taken during the tour for marketing/promotional purposes. *

First Name

Last Name

ELECTRONIC SIGNATURE* By entering your full name and date , you acknowledge that you have had sufficient opportunity to read this entire document and the Policies, Terms & Conditions specific to this Tour and agree to be bound by its terms. *

First Name

Last Name

Date

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